British Journal of Anaesthesia ; – Gasless laparoscopic cholecystectomy: comparison of postoperative recovery with conventional technique. This interesting treatise begins with a well-done historical review of laparoscopy. The disadvantages of carbon dioxide pneumoperitoneum, some real and some. PDF | On Dec 1, , L Angelini and others published Gasless laparoscopy.

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Download the PDF to view the article, as well as its associated figures and tables. The differential diagnosis of acute abdomen remains a complex clinical issue because, on one hand the patient involved could be already compromised and the time available for diagnosis limited, and on the other hand due to frequent lack of diagnostic means [computed tomography CTmagnetic resonance imaging MRIultrasonography US ].

Final diagnoses were established in 41 patients and are presented in detail in Figure 1while in eight patients no obvious cause was identified or existed. Gasless laparoscopy in abdominal surgery. Regarding the eight patients in which laparoscopy was inconclusive: With both techniques used, sample of the intraperitoneal fluid or biopsy could be obtained.

The disadvantages of carbon dioxide pneumoperitoneum, some real laparoxcopy some hypothetical, are noted. Regarding the anesthesia used in gasless laparoscopy, it can be laparooscopy regional or local anesthesia. In parentheses is the number of cases. New Orleans, Louisiana, September Of these eight cases without diagnosis, five involved multiple trauma with symptoms of acute abdomen, in which we could not identify any pathological findings by gasless laparoscopy.


Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts. Use of this technique, allows clarification of the diagnosis and also acquisition of the necessary information to determine the appropriate therapeutic approach. Low-pressure pneumoperitoneum laparoscopic surgery.

This study included 49 patients that were managed with gasless laparoscopy for the diagnosis of acute abdomen, from to Hypercarbia during carbon dioxide insufflation for therapeutic laparoscopy: The alternative actually exists since when Eruheim made the first gasless laparoscopy. The study included 32 women and 17 men aged years, including the following age groups: Under direct vision and digital control a fan-formed wall retractor, which is attached to an electric lift arm, is introduced into the abdominal cavity.

Please review our privacy policy. Especially in six cases treated this way, the postoperative pain was very intense and high doses of painkillers were required. Requiring only local or regional anesthesia, this technique could easily find application in diagnosis and treatment, while avoiding unnecessary galess.

The use of gasless laparoscopy has a number of advantages resulting ,aparoscopy the lack of side effects la;aroscopy complications caused by the creation of pneumoperitoneum by CO 2 2.

All cases with incision infections were managed by antibiotics and local treatment, while the hematoma was managed by drainage.

Support Center Support Center. Post-operative complications are commonly related to the abdominal incision and are similar to the complications of classic surgery: Paolucci V, Schaeff B. Not only special laparoscopic instruments, but the conventional instruments, used laparoscopu open surgery, can also be laparoscpoy in gasless laparoscopy. Our website uses cookies to enhance your experience.


Gasless laparoscopy in abdominal surgery.

Gasless laparoscopy is a useful method for the differential diagnosis lparoscopy acute abdomen causes in cases of extreme graveness and urgency. This interesting treatise begins with a well-done historical review of laparoscopy. The aim of this study is to put back into the spotlight, gasless laparoscopy in the differential diagnosis of acute abdomen and to underline the advantages of this simple, cheap and very useful technique, especially in patients that require prompt diagnosis and have relative or absolute contraindications to general anesthesia or pneumoperitoneum.

World J Surg Oncol. Randomized comparison of conventional and gasless laparoscopic cholecystectomy: Critical patients with major anesthetic risk, 2.

Gasless laparoscopy in abdominal surgery.

Privacy Policy Terms of Use. Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. It is though under consideration, once our experience is advanced, to use this method for therapeutic applications in the future. Chirurgia laparoscopica de urgenta. Paolucci V, Schaeff B eds.

Specific to the laparolift gasldss, increased post-operative lapparoscopy of the anterior abdominal wall was observed, caused by the mechanical lift.